Kroger Specialty Pharmacy, Inc. is an authorized DME supplier for medicare equipments and products.
Kroger Specialty Pharmacy, Inc. is a Pharmacy in Irvine, California. It is located at 1821 Kaiser Ave, Irvine and it's customer support contact number is 855-733-3126. The authorized person of Kroger Specialty Pharmacy, Inc. is Debra J Cole who is Vice President of the pharmacy and his contact number is 855-733-3126.Kroger Specialty Pharmacy, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Kroger Specialty Pharmacy, Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Kroger Specialty Pharmacy, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Kroger Specialty Pharmacy, Inc.
Type:
Pharmacy
Location:
1821 Kaiser Ave, Irvine, California, 92614-5707
Phone:
855-733-3126
Fax:
888-315-3270
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Debra J Cole
Position:
Vice President
Contact Number:
855-733-3126
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1184649782
NPI Enumeration Date:
13 Jul, 2006
NPI Last Update On:
08 May, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kroger Specialty Pharmacy, Inc. are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Specialty Pharmacy
PHY51548
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
60000708
Medicaid
New Mexico
140622100
Medicaid
Wyoming
1184649782
Medicaid
California
1626534
Medicaid
Alaska
94789061
Medicaid
Colorado
092265
Medicaid
Arizona
2043938
Medicaid
Washington
7176839
Medicaid
Montana
1184649782
Medicaid
Utah
1184649782
Medicaid
Idaho
Medicare Enrollment:
Kroger Specialty Pharmacy, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
3476664434
O20141113000251
Kroger Specialty Pharmacy Inc
DME SUPPLIER - PHARMACY
Products Available:
Kroger Specialty Pharmacy, Inc. has following products available for sale under medicare.
Products
Infusion Pumps & Supplies: External Infusion
Infusion Pumps & Supplies: Insulin Infusion
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1821 Kaiser Ave, Irvine, California
Zip:
92614-5707
Phone Number:
855-733-3126
Fax Number:
888-315-3270
Patients can reach Kroger Specialty Pharmacy, Inc. at 1821 Kaiser Ave, Irvine, California or can call on customer care at 855-733-3126.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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